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Utah rates for HCPCS Q4025

Cast supplies, hip spica (one or both legs), adult (11 years +), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.98 / $28.98 / $28.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.31 / $30.57 / $136.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $19.25 / $19.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.40 / $41.97 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.24 / $33.03 / $33.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.66 / $20.01 / $33.35